Pediatric Dentistry Of Greenville,p.a.
Pediatric Dental Clinic
410a Pelham Rd, Greenville
South Carolina, 29615-3502
864-232-1574 864-232-6800
Maps & DirectionsPediatric Dentistry Of Greenville,p.a. is a Pediatric Dental Clinic in Greenville, South Carolina. It is located at 410a Pelham Rd, Greenville, SC and its contact number is 864-232-1574. The authorized person for Pediatric Dentistry Of Greenville,p.a. is Mrs. Kim Martinez
who is Office Assitant of the clinic and their contact number is 864-232-1574. The primary license number for Pediatric Dentistry Of Greenville,p.a. is ZA9916 (Pediatric Dentistry) in South Carolina.
Pediatric Dentistry Of Greenville,p.a. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Pediatric Dentistry Of Greenville,p.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pediatric Dentistry Of Greenville,p.a. |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 410a Pelham Rd, Greenville, South Carolina, 29615-3502 |
| Phone: | 864-232-1574 |
| Fax: | 864-232-6800 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Kim Martinez |
| Position: | Office Assitant |
| Contact Number: | 864-232-1574 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pediatric Dentistry Of Greenville,p.a. clinic are as mentioned below.
| NPI Number: | 1902884984 |
| NPI Enumeration Date: | 09 Jan, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Dentistry Of Greenville,p.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | ZA9916 | South Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| ZA9916 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pediatric Dentistry Of Greenville,p.a. 410a Pelham Rd, Greenville, South Carolina |
| Zip: | 29615-3502 |
| Phone Number: | 864-232-1574 |
| Fax Number: | 864-232-6800 |
Patients can reach Pediatric Dentistry Of Greenville,p.a. at
410a Pelham Rd, Greenville, South Carolina or can
call to book an appointment on 864-232-1574.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.